Permit fi, PAip i c u-� - PLi X005 co 63,.
1 CITY OF TIGARD PLUMBING PERMIT
1 1 ` DEVELOPMENT SERVICES PERMIT #: PLM2006 -00379
'- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 DATE ISSUED: 8/11/2006
PARCEL: 2S1 14 BA -0 550 0
SITE ADDRESS: 09970 SW KENT CT ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT: 085 JURISDICTION: TIG
Project Description: Backflow preventer for irrigation.
CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES:
TYPE OF USE: SF WASHING MACH: BACKFLOW PREVNTRS: 1
OCCUPANCY GRP: R3 FLOOR DRAINS; TRAPS:
STORIES: WATER HEATERS: CATCH BASINS:
FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS:
SINKS: URINALS: GREASE TRAPS:
LAVATORIES: OTHER FIXTURES:
TUB /SHOWERS: SEWER LINE: ft
WATER CLOSETS: WATER LINE: ft
DISHWASHERS: RAIN DRAIN: ft
Owner: FEES
GLORIA CRAIG
9970 SW KENT CT. Description Date Amount
TIGARD, OR 97224 [PLUMB] Permit Fee 8/11/2006 $36.25
[TAX] 8% State Surcha 8/11/2006 $2.90
Phone : NA Total $39.15
Contractor:
DOWN TO EARTH IRRIGATION
13075 SW PACIFIC HWY
TIGARD, OR 97223 REQUIRED ITEMS AND REPORTS
Contact # : PRI 503- 684 -3500
FAX 503- 968 -8297
Reg #: LIC 8169
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of
issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon
Utility Notification Center. Those rules are set forth in OAR 952 - 0001 -0010 through OAR 952 - 0001 -0100. You may obtain copies of
these rules or direct questions to OUNC by calling 503 - 246 -6699 or 1- 800 - 332 -2344.
..../c Issued By: Permittee Signature: Q — � ��.
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
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M 1 FAX NO. : Aug. 15 2002 07:29PM P3
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Plumbing Permit Applielhou ' - .., , FOR OFFICE USE ONLY
•
City of Tigard .
AUG 1 ° Reecivoda
Date/S . b /FP ..• ; I Permit No.:1 , I/ ‘ .0e2 6 .- p • /'
13125 SWIM /31vd., Tigard, OR 97223 2006 Alp, Plan Revie
Phone: 503.639.4171 Fax: 503_59ii.1R6Q1v r 4 . , . '': -; - i '-' , DatriBy: - Other Permit No.:
24- liour Inapeetion Line: 503.63p.,4F951 1 1 kir i it i ( : j1
„.. . Date Readv113v: -11frik El See Page 2 for
Intcruct: www_ci.tigaTtl-or,us R1 irp n „ _''. - _:2. - , -.. Notified/Method: Supplemental informadon
-
Far $ • - dal in ormation use checklist,
0 New construction CI Demolition
Description — OtY• Ea, Total
0 Addition/alteration/replacement O Other: New 1- 2-family dweillugS (includes 100 ft. for each utility connection)
- i f e ce w :5:I .', : : %,: , SFR (1) bath 24920
, , E ", _ 4 • - a .1:,,kosize... - --,.- .....*,, ,. . -', ,,, ..
NI I- and 2 dwelling El Commercial/Industrial SFR (2) bath 350-00
SFR (3) bath 399.00
0 Accessory building 0 Multi-family
Each additional bath/kitchen 45.00
_
0 Master builder. —.
Fire sprinkler ( sq_ ft.) Page 2
1:424:14r0NriL2111$1 t ' site utilities
Job site address; '19 70 - c ic k ) r...e..„ • ci---- ,,, . Catch basin or area drain 16.60
City/State/ZIP: X rki (f) R 9] -1T2, 4 Drywell, leach line, or trench drain IIIII 16.60
Suite/bIdgJapt. no.: 1 Project tune: Footing drain (no. linear ft.; ) Page 2
lvianuctined home utilities i 10_00
Cross street/dhootions to job site:
Manholes ' • 16.60
Rain drain connector 16_60
Sanitary sewer (no. linear it: ) Page 2
St can sewer (no. linear ft_: ) Page 2
Subdivision: Lot no.:
Water service (no. linear ft.: _) Page 2
1
Fixture or Item
Tax map/parcel no.:
Absorption valve I 6.60
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1+ '3 'Illtu ""' ' '.!4 ./.: .' ...... '''''' =,••••• //2.172=21.?rVi.) ..211v -gv..11g V' 3a,, ,,,,... , B prevent& Page 2
Backwater valve : 16.60
Clothes washer 16_60
Dishwasher 16.60
16_60
FriEeEkTt:i..,47 :i i c itioRwg -. Dritddrig roma=
4. Mr..s.a. •■•-•)_.---k.i,r;
"''' Ejectors/sump MI
14arae: 41 .r1 ; Ck. C COil%
Expansion tank 16.60
Address: ''''' do 'S rt, Q .1,..
't Mame/sewn' cap 16.60
I /91*f ..., a .
City/Staten?: ot,i' , 0 - - 1 / /./ LI Floor drain/fInor sink/hub 16.60
Phone: ( . ) Fax: (5 : --;;-:.-:; Garbage disposal 16.60
- — K •leGposur- . »pr. •rw Hose bib
ESIMERiEg,gariMEMIMMENZZFA T. -,q„ EN 16.60
Ice maker 11111 16
Business name h , CAT AI r ' • IZT=1:1 16.60
, a 7
Contact name: wal I R a II In cs, ip
Medical gas (value: $ ) Mil Page 2
Address! Pruner
14 11ffigilv' m - M ...a. siM11.111. ' 16.60
City/State/7,M: "' • . , 141141CriM Roof dndi2 (commercial) 16.60
Phone; sp, OrlaK4. 0 0 EMMWreliMEM Sinisibasintia"hlgY
Tub/shower/shower pan NM
E-mail: 1640
EMIIIOIIIIIIINIIIIIIMIII
(V-Verl'; ` ' ' - 'ti .,;.' 4:',V?:, , i : o'Yi . ' ';.■:',Or.' 16_60
Business name: b , .„
16.60
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Address: eir _ 'S 4 MI 1111M111111.1 Other: .
City/State/ZIP: A _ A•
Z • Ix r v C.) LAIIIEIEMMIMMII Subtotal 2i5
Minimum permit fee: $72_50
Phone: 'O..' ) Mat" S 0 0 Pax: (5, • AII b 2 Residential bacicflow minirnum . ermit foe: $36.25 r . 5
CCB Lie.: larglallMII=Mr=aitlin3 Plan review (25% of permit fee)
AntherizgAsignaturm_ AMIMIllibig.r_ -_ State aureharge(rA_of permit fee)
TOTAL pERmrrTEE gr
Print name: ,,,, 5 . , . _ ._ de
Date: M () 06, Th'ia permit application expires if a permit is not obtained within
/S0 days after it has been accepted as complete.
,, Pee reethodnioav set by Tri-Countv Building Industry Service Board,
CITY OF TIGARD
BUILDING DIVISION ,C PERMIT #: PLIA200&00379
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1112006
Phone: (503) 639-4171 14 : 1 01 141111 1 `
Inspection Requests (24 Hrs.): (503) 639-4175 2.104. ■ '
INSPECTION WORKSHEET FOR DATE: 8/15/2006 TIME: 7:05Alvi PAGE: 60
SITE ADDRESS: 09970 SW KENT CT CLASS OF WORK: •
SUBDIVISION: PICKS LANDING NO.2 LOT #: 085 TYPE OF USE:
PROJECT NAME: CRAIG
DESCRIPTION: Backflow preventer for irrigation.
OWNER: CRAIG, GLORIA __ - PHONE #: NA ,
CONTRACTOR: DOWN TO EARTH ON PHONE #: 503.684.3600
Inspection Request Scheduled For: Date: 13/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
399 Plumbing final 034940-01 603-684-3500 N
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Correcti / Ons/Comments/Instructions: 7
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ASS fl PARTIAL APPROVAL pi CANCEL 0 NO ACCESS
EI FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
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Inspector: V 1 ')(rY Date: t / - Phone #: (503) 718-
. .